National Provider Identifier Database

PURA VIDA CHIROPRACTIC PLC
Health Service


Contact Information

PURA VIDA CHIROPRACTIC, PLC
574 N ARIZONA AVE
CHANDLER, AZ85225-4589
Phone: 480-963-5832
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for PURA VIDA CHIROPRACTIC, PLC

NPI Number 1194980540
Legal business name
LBN
PURA VIDA CHIROPRACTIC, PLC
Authorized official TIMOTHY BRADFORD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/25/2008
Last updated 03/05/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 7935

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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